|
Ultrasound trgt dyn mbubb ea addl
|
$239.50 |
$239.50 |
$239.50 |
$348.00
|
|
Ultraviolet therapy
|
$24.00 |
$24.00 |
$24.00 |
$39.76
|
|
Umbilical cord occlud w/us
|
$569.50 |
$569.50 |
$569.50 |
$754.00
|
|
Unit mobile power mpu
|
$9,309.50 |
$9,309.50 |
$9,309.50 |
$14,359.52
|
|
Unlisted chemotherapy px
|
$96.50 |
$96.50 |
$96.50 |
$143.75
|
|
Unlisted cranfcl&maxlfcl px
|
$365.00 |
$365.00 |
$365.00 |
$571.20
|
|
Unlisted CT procedure
|
$186.50 |
$186.50 |
$186.50 |
$732.70
|
|
Unlisted fetal invas px w/us
|
$304.50 |
$304.50 |
$304.50 |
$498.40
|
|
Unlisted fluoroscopic px
|
$256.00 |
$256.00 |
$256.00 |
$305.76
|
|
Unlisted misc path test
|
$83.00 |
$83.00 |
$83.00 |
$89.40
|
|
Unlisted mr procedure
|
$739.50 |
$739.50 |
$739.50 |
$1,163.00
|
|
Unlisted muscskel px head
|
$373.00 |
$373.00 |
$373.00 |
$1,224.08
|
|
Unlisted neurological dx px
|
$394.50 |
$394.50 |
$394.50 |
$242.50
|
|
Unlisted orl service/px
|
$153.00 |
$153.00 |
$153.00 |
$132.60
|
|
Unlisted procedure colon
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$1,839.55
|
|
Unlisted procedure esophagus
|
$1,215.50 |
$1,215.50 |
$1,215.50 |
$1,998.88
|
|
Unlisted procedure eyelids
|
$833.00 |
$833.00 |
$833.00 |
$2,174.90
|
|
Unlisted procedure larynx
|
$516.50 |
$516.50 |
$516.50 |
$924.00
|
|
Unlisted procedure liver
|
$941.50 |
$941.50 |
$941.50 |
$2,287.20
|
|
Unlisted procedure microbiology
|
$523.50 |
$523.50 |
$523.50 |
$530.00
|
|
Unlisted procedure rectum
|
$1,395.50 |
$1,395.50 |
$1,395.50 |
$1,223.20
|
|
Unlisted procedure spine
|
$463.50 |
$463.50 |
$463.50 |
$4,659.85
|
|
Unlisted px biliary tract
|
$1,236.50 |
$1,236.50 |
$1,236.50 |
$3,055.00
|
|
Unlisted px casting/strpg
|
$250.00 |
$250.00 |
$250.00 |
$222.00
|
|
Unlisted px foot/toes
|
$463.50 |
$463.50 |
$463.50 |
$1,239.20
|
|
Unlisted px leg/ankle
|
$811.00 |
$811.00 |
$811.00 |
$882.30
|
|
Unlisted px male genital sys
|
$175.50 |
$175.50 |
$175.50 |
$387.84
|
|
Unlisted px neck/thorax
|
$435.00 |
$435.00 |
$435.00 |
$571.20
|
|
Unlisted px pelvis/hip joint
|
$927.00 |
$927.00 |
$927.00 |
$3,251.90
|
|
Unlisted px small intestine
|
$1,819.50 |
$1,819.50 |
$1,819.50 |
$2,118.35
|
|
Unlisted resp px dx nuc med
|
$854.50 |
$854.50 |
$854.50 |
$670.60
|
|
Unlisted surgical path px
|
$56.50 |
$56.50 |
$56.50 |
$217.75
|
|
Unlisted ultrasound procedure
|
$234.50 |
$234.50 |
$234.50 |
$335.00
|
|
Upgrade pm system
|
$11,016.50 |
$11,016.50 |
$11,016.50 |
$12,077.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$285.00 |
$285.00 |
$285.00 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$885.50 |
$885.50 |
$885.50 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$651.50 |
$651.50 |
$651.50 |
$1,425.85
|
|
Upper Back (Thoracic Spine) MRI (with and without contrast)
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$2,998.00
|
|
Upper Back (Thoracic Spine) MRI (with contrast)
|
$887.50 |
$887.50 |
$887.50 |
$2,392.00
|
|
Upper Back (Thoracic Spine) MRI (without contrast)
|
$835.00 |
$835.00 |
$835.00 |
$2,034.41
|
|
Upper Back (Thoracic Spine) X-ray (2 views)
|
$322.50 |
$322.50 |
$322.50 |
$321.95
|
|
Upper Back (Thoracic Spine) X-ray (3 views)
|
$343.00 |
$343.00 |
$343.00 |
$381.60
|
|
Upper Endoscopy (EGD, diagnostic)
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$1,824.75
|
|
Upper Endoscopy (EGD, with biopsy)
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$1,768.00
|
|
Upper GI Barium X-ray (barium and gas)
|
$575.00 |
$575.00 |
$575.00 |
$660.40
|
|
Upper GI Barium X-ray (barium only)
|
$428.00 |
$428.00 |
$428.00 |
$607.20
|
|
Urea nitrogen
|
$61.50 |
$61.50 |
$61.50 |
$42.01
|
|
Urea nitrogen 24 hour urine
|
$73.50 |
$73.50 |
$73.50 |
$51.84
|
|
Urea nitrogen clearance
|
$105.50 |
$105.50 |
$105.50 |
$34.02
|
|
Ureteral embolization/occl
|
$7,771.00 |
$7,771.00 |
$7,771.00 |
$2,079.31
|
|
Ureteral reflux study
|
$952.50 |
$952.50 |
$952.50 |
$952.50
|
|
Urethrcystgrphy rtrgrde s&i
|
$584.00 |
$584.00 |
$584.00 |
$584.00
|
|
Urethrocystography void s&i
|
$615.00 |
$615.00 |
$615.00 |
$634.50
|
|
Uric acid blood
|
$72.00 |
$72.00 |
$72.00 |
$49.32
|
|
Uric acid urine
|
$55.00 |
$55.00 |
$55.00 |
$44.52
|
|
Urinalysis microscopic only
|
$30.50 |
$30.50 |
$30.50 |
$26.35
|
|
Urinalysis qual/semiquant excpt ia
|
$28.00 |
$28.00 |
$28.00 |
$25.72
|
|
Urinalysis (with microscopy)
|
$44.50 |
$44.50 |
$44.50 |
$55.20
|
|
Urinalysis (without microscopy)
|
$33.00 |
$33.00 |
$33.00 |
$35.91
|
|
Urinary bldr retent nuc study
|
$207.50 |
$207.50 |
$207.50 |
$350.66
|
|
Urine Culture Test
|
$77.00 |
$77.00 |
$77.00 |
$82.32
|
|
Urine pregnancy test
|
$74.50 |
$74.50 |
$74.50 |
$68.21
|
|
Urography, antegrade
|
$719.00 |
$719.00 |
$719.00 |
$622.35
|
|
Urography inf drip &/or bolus
|
$946.00 |
$946.00 |
$946.00 |
$642.50
|
|
Use 1st target lesion
|
$450.50 |
$450.50 |
$450.50 |
$332.00
|
|
Vaccine Administration (one shot)
|
$65.00 |
$65.00 |
$65.00 |
$67.74
|
|
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml
|
$60.38 |
$60.38 |
$60.38 |
$224.25
|
|
Vaccine dtap < 7 years im
|
$29.33 |
$29.33 |
$29.33 |
$71.17
|
|
Vaccine dtap-hep b-ipv im
|
$50.06 |
$50.06 |
$50.06 |
$164.63
|
|
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im
|
$24.22 |
$24.22 |
$24.22 |
$43.12
|
|
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im
|
$176.53 |
$176.53 |
$176.53 |
$274.93
|
|
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im
|
$28.46 |
$28.46 |
$28.46 |
$75.39
|
|
Vaccine influenza (iiv) preservative free antigen content im
|
$47.45 |
$47.45 |
$47.45 |
$149.21
|
|
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im
|
$10.71 |
$10.71 |
$10.71 |
$48.59
|
|
Vaccine mengingoccocal serogroup b 2 dose im
|
$251.06 |
$251.06 |
$251.06 |
$394.26
|
|
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im
|
$164.74 |
$164.74 |
$164.74 |
$327.37
|
|
Vaccine mmr live subcutaneous
|
$61.76 |
$61.76 |
$61.76 |
$213.00
|
|
Vaccine pneumonococcal conjugate 20 valent (pcv20) im
|
$321.98 |
$321.98 |
$321.98 |
$563.36
|
|
Vaccine polio (ipv) subcutaneous/im
|
$38.55 |
$38.55 |
$38.55 |
$90.70
|
|
Vaccine rabies im
|
$411.38 |
$411.38 |
$411.38 |
$858.95
|
|
Vaccine respiratory syncytial virus bivalent subunit/preservative free im
|
$343.10 |
$343.10 |
$343.10 |
$538.84
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im
|
$688.81 |
$688.81 |
$688.81 |
$1,105.21
|
|
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im
|
$702.05 |
$702.05 |
$702.05 |
$997.44
|
|
Vaccine tdap >=7 years im
|
$41.40 |
$41.40 |
$41.40 |
$131.34
|
|
Vaccine td preservative free >= 7 years im
|
$32.78 |
$32.78 |
$32.78 |
$112.10
|
|
Vaccine varicella live subcutaneous
|
$242.15 |
$242.15 |
$242.15 |
$365.17
|
|
Vacuum drain bottle/tube kit
|
$2,760.00 |
$2,760.00 |
$2,760.00 |
$325.20
|
|
Vad battery clip set hmii 14-v li-ion
|
$1,407.50 |
$1,407.50 |
$1,407.50 |
$1,932.00
|
|
Vad cable power module dc input
|
$289.00 |
$289.00 |
$289.00 |
$731.74
|
|
Vad univ batt charger hm 1440
|
$8,588.50 |
$8,588.50 |
$8,588.50 |
$14,814.14
|
|
Vaginal bx
|
$32.00 |
$32.00 |
$32.00 |
$459.42
|
|
Valproic acid total therapeutic drug level
|
$171.00 |
$171.00 |
$171.00 |
$115.00
|
|
Valvuloplasty aortic
|
$5,575.50 |
$5,575.50 |
$5,575.50 |
$7,944.16
|
|
Valvuloplasty mitral
|
$6,782.50 |
$6,782.50 |
$6,782.50 |
$10,845.00
|
|
Valvuloplasty pulmonary
|
$5,575.50 |
$5,575.50 |
$5,575.50 |
$11,945.20
|
|
Vancomycin 1,000 mg intravenous injection
|
$38.95 |
$38.95 |
$38.95 |
$251.86
|
|
Vancomycin peak therapeutic drug level
|
$216.50 |
$216.50 |
$216.50 |
$135.60
|
|
Vanomycin dna amp probe
|
$233.00 |
$233.00 |
$233.00 |
$78.40
|
|
Varicella zoster antibody igg
|
$119.50 |
$119.50 |
$119.50 |
$86.80
|
|
Vasopressin 20 unit/ml intravenous solution
|
$8.86 |
$8.86 |
$8.86 |
$325.80
|
